Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $1,819.70 / $7,413.10	Facility		$64.57	$1,819.70	$7,413.10
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,137.96 / $2,884.03 / $2,884.03	Facility	50	$2,137.96	$2,884.03	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $107.15 / $323.59	Professional		$51.29	$107.15	$323.59
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $154.88 / $309.03 / $741.31	Professional	50	$154.88	$309.03	$741.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,630.78 / $5,011.87	Facility		$1,819.70	$3,630.78	$5,011.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $91.20 / $239.88	Professional		$72.44	$91.20	$239.88
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $107.15 / $138.04 / $363.08	Professional	50	$107.15	$138.04	$363.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $114.82	Professional		$66.07	$66.07	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $81.28 / $53,703.18	Facility		$34.67	$81.28	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $128.82 / $398.11	Professional		$56.23	$128.82	$398.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $52.48 / $141.25	Facility		$34.67	$52.48	$141.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $114.82 / $165.96	Professional		$87.10	$114.82	$165.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $107.15 / $190.55	Professional		$70.79	$107.15	$190.55
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $457.09 / $812.83	Facility		$69.18	$457.09	$812.83
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $162.18	Professional		$81.28	$81.28	$162.18
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $50,118.72 / $75,857.76	Facility		$56.23	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $120.23 / $398.11	Professional		$100.00	$120.23	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $2,754.23 / $4,897.79	Facility		$870.96	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $70.79 / $208.93	Professional		$30.20	$70.79	$208.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $50.12 / $177.83	Facility		$38.90	$50.12	$177.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $95.50 / $173.78	Professional		$66.07	$95.50	$173.78